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Criteria for obtaining a valid VO 2peak included: the point at which VO 2 did not increase by more than 1.5 ml kg 1 min 1 with an increase in work rate, an RER value greater than 1.20, or when the participant reached volitional exhaustion

This produces usable energy for training, performance, and daily activity

Gut 65 , 426436 (2016)

Carnitine/acetylcarnitine also have potentially positive effects on hormonal and metabolic parameters in patients with reproductive dysfunction, such as polycystic ovary syndrome [86, 87], and these effects may involve a series of complex signal transduction pathways to maintain the homeostasis of the endocrine system [88]

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Effect of L-carnitine on the serum lipoproteins and HDL-C subclasses in hemodialysis patients